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Nonprofiteer
← HUNTINGTON MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by HUNTINGTON MEMORIAL HOSPITAL INC.

Totals

Total revenue
$68,713,910
Total expenses
$65,276,713
Contributions and grants received
$563,144
Grants paid
$78,508
Program service revenue
$66,972,451
Investment income
$882,362
Other revenue
$295,953
Total assets, end of year
$84,698,817
Total liabilities, end of year
$5,899,508
Net assets or fund balances, end of year
$78,799,309
Program services expenses (Part IX)
$52,578,816
Management and general expenses
$12,642,260
Fundraising expenses
$55,637
Program service expenses (Part III)
$52,578,816

Program services were 80.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $52,522

  • 1e · Government grants (contributions)

    $510,622

  • 2a · Program service revenue: NET PATIENT SERVICE

    total $66,337,888 · related or exempt $66,337,888

  • 2b · Program service revenue: EMS SUBSIDY

    total $472,200 · related or exempt $472,200

  • 2c · Program service revenue: INTERUNIT RENT

    total $100,873 · related or exempt $100,873

  • 2d · Program service revenue: PHARMACY

    total $55,897 · related or exempt $55,897

  • 2e · Program service revenue: HEALTH/DISEASE EDUCATION CLASSES

    total $3,670 · related or exempt $3,670

  • 2f · All other program service revenue

    total $1,923 · related or exempt $1,923

  • 3 · Investment income

    total $741,384 · excluded $741,384

  • 6a · Gross rents

    real property $72,678

  • 6b · Less rental expenses

    real property $109,485

  • 6c · Rental income or loss

    real property -$36,807

  • 6d · Net rental income or loss

    total -$36,807 · excluded -$36,807

  • 7a · Gross sales of assets other than inventory

    securities $158,610,024 · other assets $644

  • 7b · Less cost or other basis and sales expenses

    securities $158,469,690 · other assets $0

  • 7c · Gain or loss

    securities $140,334 · other assets $644

  • 7d · Net gain or loss

    total $140,978 · excluded $140,978

  • 11a · Other revenue: CAFETERIA REVENUE

    total $305,459 · excluded $305,459

  • 11b · Other revenue: GIFT SHOP

    total $27,301 · excluded $27,301

  • 11e · Other revenue, total

    $332,760

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $78,508 · program services $78,508

  • 5 · Compensation of officers, directors and key employees

    total $848,113 · management and general $848,113

  • 6 · Compensation of disqualified persons

    total $174,062 · program services $174,062

  • 7 · Other salaries and wages

    total $18,053,458 · program services $18,053,458

  • 9 · Other employee benefits

    total $6,122,629 · program services $6,122,629

  • 11f · Fees: investment management

    total $115,873 · management and general $115,873

  • 11g · Fees: other

    total $7,125,590 · program services $6,394,585 · management and general $731,005

  • 12 · Advertising and promotion

    total $456 · program services $20 · management and general $436

  • 13 · Office expenses

    total $1,364,232 · program services $1,323,820 · management and general $40,412

  • 14 · Information technology

    total $24,687 · program services $24,550 · management and general $137

  • 16 · Occupancy

    total $2,161,285 · program services $2,160,011 · management and general $1,274

  • 17 · Travel

    total $17,202 · program services $12,320 · management and general $4,882

  • 19 · Conferences, conventions and meetings

    total $20,983 · program services $19,316 · management and general $1,667

  • 20 · Interest

    total $4,531 · program services $4,531

  • 22 · Depreciation, depletion and amortization

    total $1,808,615 · program services $1,780,975 · management and general $27,640

  • 23 · Insurance

    total $138,430 · program services $138,430

  • 24a · Other expenses: CORP SERVICE ALLOCATION

    total $10,819,968 · management and general $10,819,968

  • 24b · Other expenses: PH CLINICAL SUPPORT

    total $8,377,272 · program services $8,377,272

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $5,216,620 · program services $5,216,620

  • 24d · Other expenses: HOSPITAL ASSESSMENT FEE

    total $2,518,927 · program services $2,518,927

  • 24e · All other expenses

    total $285,272 · program services $178,782 · management and general $50,853 · fundraising $55,637

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,324 · end of year $2,324

  • 2 · Savings and temporary cash investments

    beginning of year $252,637 · end of year $252,637

  • 3 · Pledges and grants receivable

    beginning of year $252,971

  • 4 · Accounts receivable

    beginning of year $11,196,982 · end of year $8,877,458

  • 8 · Inventories for sale or use

    beginning of year $312,508 · end of year $420,799

  • 9 · Prepaid expenses and deferred charges

    beginning of year $32,601 · end of year $24,683

  • 10a · Land, buildings and equipment: cost or other basis

    $27,733,222

  • 10b · Land, buildings and equipment: accumulated depreciation

    $17,097,291

  • 10c · Land, buildings and equipment, net

    beginning of year $11,444,758 · end of year $10,635,931

  • 11 · Investments: publicly traded securities

    beginning of year $49,641,375 · end of year $43,961,390

  • 14 · Intangible assets

    beginning of year $246,000 · end of year $246,000

  • 15 · Other assets

    beginning of year $16,522,225 · end of year $20,277,595

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,127,153 · end of year $2,391,078

  • 19 · Deferred revenue

    beginning of year $2,432,431 · end of year $119,782

  • 25 · Other liabilities

    beginning of year $3,536,854 · end of year $3,388,648

  • 27 · Net assets without donor restrictions

    beginning of year $81,807,943 · end of year $78,799,309

Mission and programs · 2022

Mission

HUNTINGTON MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.

Activities or mission (Part I)

IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.

  • QUALITY RECOGNITIONTHE STAFF OF HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE CONSISTENTLY HIGH-QUALITY CARE DELIVERED IS EVIDENCED BY THE HOSPITAL'S RECOGNITION WITH NUMEROUS STATE AND NATIONAL HONORS, INCLUDING ITS HAVING BEEN:- AWARDED AN "A" SAFETY GRADE FOR FALL 2021, SPRING 2022 AND FALL 2022 BY THE LEAPFROG GROUP - RECOGNIZED BY THE CHARTIS CENTER FOR RURAL HEALTH AS WELL AS THE(SEE SCHEDULE O FOR CONTINUATION)NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH (NOSORH) WITH A PERFORMANCE LEADERSHIP AWARD IN THE PATIENT PERSPECTIVE CATEGORY FOR 2021- RECOGNIZED AS AN INSPIRE HOSPITAL OF DISTINCTION FOR 2020, 2021 AND 2022 BY THE INDIANA HOSPITAL ASSOCIATION, IN PARTNERSHIP WITH GOVERNOR ERIC HOLCOMB AND STATE HEALTH COMMISSIONER KRIS BOX, FACOG, FOR ITS EXCELLENCE IN CARING FOR MOTHERS AND BABIES, HAVING IMPLEMENTED BEST PRACTICES IN SIX KEY AREAS THAT ARE DRIVERS OF INFANT AND MATERNAL HEALTH - NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH -- RECEIVED IN 2020 FOR THE SEVENTH TIME- NAMED ONE OF THE TOP 100 RURAL & COMMUNITY HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH -- RECEIVED IN 2020 FOR THE THIRD YEAR- NAMED ONE OF THE BEST PLACES TO WORK IN INDIANA BY THE INDIANA CHAMBER OF COMMERCE -- RECEIVED IN 2018 AND 2019- NAMED ONE OF MODERN HEALTHCARE'S BEST PLACES TO WORK IN HEALTHCARE -- RECEIVED IN 2018 AND 2019 - NAMED ONE OF THE BECKER'S HOSPITAL REVIEW 100 GREAT COMMUNITY HOSPITALS -- RECEIVED IN 2019 FOR THE FIFTH CONSECUTIVE YEARHOSPITAL SERVICESSERVICES INCLUDE:- FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT WITH TWELVE TREATMENT ROOMS, ONE TRAUMA BAY AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS- TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, SEVEN PRE-/POST-OP ROOMS AND THREE RECOVERY ROOMS - MEDICAL INFUSION UNIT PROVIDING OUTPATIENT MEDICATIONS, INFUSIONS, TRANSFUSIONS AND CENTRAL LINE CARE UNDER THE SUPERVISION OF A DEDICATED RN - FAMILY BIRTHING CENTER WITH SIX PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS- REHABILITATION AND WELLNESS SERVICES INCLUDING ADULT AND PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, DIABETES EDUCATION, MEDICAL NUTRITION THERAPY, AND CARDIAC AND PULMONARY REHAB- FULL-SERVICE LAB AND PHARMACY, INCLUDING AN ATU CLINIC FOR PATIENTS TAKING BLOOD THINNERS- A SLEEP DISORDERS LAB OFFERING TWO PATIENT ROOMS FOR OVERNIGHT, ON-SITE SLEEP STUDIES AND INSTRUCTION FOR PATIENTS RECEIVING HOME SLEEP STUDIES- AN OUTPATIENT CENTER FOR WOUND HEALING OFFERING BIOLOGIC AND BIOSYNTHETIC DRESSINGS, GROWTH FACTOR THERAPIES, NEGATIVE PRESSURE THERAPY, DEBRIDEMENT AND HYPERBARIC OXYGEN THERAPY- DIAGNOSTIC IMAGING SERVICES: 3D MAMMOGRAPHY, 3D AND 4D ULTRASOUND, CT SCAN, MRI, NUCLEAR MEDICINE, DEXA SCAN, EKG, EEG AND CARDIOPULMONARY PROCEDURES, VASCULAR SCREENING AND FLUOROSCOPY- PARKVIEW PHYSICIANS GROUP SPECIALTY AND PRIMARY CARE OFFICES ARE LOCATED ON SITE IN MEDICAL OFFICE SPACE ADJOINING THE HOSPITAL- HUNTINGTON-AREA RESIDENTS ALSO HAVE ACCESS TO ADDITIONAL OFF-CAMPUS MEDICAL SERVICES THROUGH THE NEARBY PARKVIEW WALK-IN CLINIC, THE PARKVIEW ORTHO EXPRESS WALK-IN CLINIC AND VARIOUS NON-PARKVIEW SPECIALTY MEDICAL PROVIDER OFFICES IN TOWNCOMMUNITY-FOCUSED AS A NOT-FOR-PROFIT HOSPITAL, MISSION IS CENTRAL TO HOW THE STAFF DELIVERS CARE. HUNTINGTON MEMORIAL HOSPITAL, INC., EXISTS TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF SURROUNDING COMMUNITIES. HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS THE NEEDS OF PEOPLE IN HUNTINGTON COUNTY WITH CERTIFIED NURSING STAFF, HEALTH EDUCATION AND OUTREACH PROGRAMS, AND FREE AND DISCOUNTED MEDICAL CARE. THE FIVE PROGRAMS LISTED HERE DEMONSTRATE SOME OF THE WAYS IN WHICH HUNTINGTON MEMORIAL HOSPITAL, INC., REACHES OUT TO NEIGHBORHOODS AND HELPS AREA RESIDENTS CREATE HEALTHIER LIVES.FINANCIAL ASSISTANCEHUNTINGTON MEMORIAL HOSPITAL, INC., IS COMMITTED TO MAKING MEDICALLY NECESSARY HEALTHCARE ACCESSIBLE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE PATIENT ACCESS TEAM INFORMS PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AS PART OF THE REGISTRATION PROCESS.COMMUNITY HEALTH IMPROVEMENT INITIATIVESTHE PURPOSE OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT PROGRAM IS TO FUND COMMUNITY HEALTH IMPROVEMENT EFFORTS WITHIN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL SETS ASIDE FUNDS ANNUALLY TO SUPPORT PROGRAMS OF SELECTED COMMUNITY HEALTH PARTNERS WHOSE WORK ALIGNS WITH HEALTH PRIORITIES IDENTIFIED PERIODICALLY BY THE COMMUNITY HEALTH NEEDS ASSESSMENT.WITH ITS COMMUNITY HEALTH PARTNERS PROGRAM, HUNTINGTON MEMORIAL HOSPITAL, INC., INVESTS IN PROGRAMMING BY KEY ORGANIZATIONS THAT PROMOTE THE HEALTHY LIFESTYLE CHOICES AND WELL-BEING OF INDIVIDUALS, CHILDREN, AND FAMILIES OF HUNTINGTON COUNTY. IN CALENDAR YEAR 2022, THE HOSPITAL SELECTED 11 COMMUNITY AGENCIES OR ORGANIZATIONS WITH WHICH TO COLLABORATE IN ADDRESSING FOCUS AREAS: SUBSTANCE USE DISORDER/MENTAL HEALTH AND OBESITY. PRIMARY HEALTH CARE/ACCESSHUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE ADVISED TO VIEW THE ONLINE PROVIDER DIRECTORY. PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE TO MATTHEW 25 HEALTH AND CARE BASED IN FORT WAYNE.IN ADDITION, THE HOSPITAL PROVIDES SUPPORT FOR THE HUNTINGTON MEDICATION ASSISTANCE PROGRAM, WHICH ASSISTS THOSE WHO QUALIFY IN OBTAINING MEDICAL SUPPLIES AND PRESCRIPTION MEDICATIONS AT NO OR LOW COST. THE PROGRAM ALSO HELPS PATIENTS ENROLL IN PHARMACEUTICAL ASSISTANCE PROGRAMS.HEALTH SCREENING AND PREVENTIONHUNTINGTON MEMORIAL HOSPITAL, INC., HISTORICALLY PARTICIPATED IN COMMUNITY HEALTH FAIRS AND ACTIVITIES THROUGHOUT THE YEAR TO PROVIDE HEALTH EDUCATION AND SCREENINGS FOR DISEASE PREVENTION, AND TO PROMOTE HEALTHY LIFESTYLES, BUT 2022 CONTINUED TO CHALLENGE THESE ENDEAVORS WITH PANDEMIC RAMIFICATIONS AND SOCIAL DISTANCING GUIDELINES. HUNTINGTON MEMORIAL HOSPITAL, INC., WAS ABLE TO COLLABORATE WITH PARKVIEW CENTER FOR HEALTHY LIVING TO SAFELY PROVIDE FOUR SOCIALLY DISTANCED "CHECK-UP DAY" EVENTS TO PROVIDE REDUCED-COST LABORATORY WORK TO AREA RESIDENTS. FOUR STAFF MEMBERS WERE ABLE TO PARTICIPATE AT HEALTHY KIDS' DAY AT THE YMCA PROMOTING HEALTHY NUTRITION, MENTAL HEALTH, AND ACTIVITY. A PHYSICAL THERAPIST DEVOTED 2.5 HOURS OF THEIR TIME PRESENTING TO A COMMUNITY GROUP ON HOW TO SAFELY FALL AND GET UP CORRECTLY. HUNTINGTON MEMORIAL HOSPITAL, INC.'S EMERGENCY MANAGEMENT SERVICES (EMS) ALSO PLAY A VITAL ROLE IN THE COMMUNITY WITH REGARD TO HEALTH PREVENTION SERVICES. ALMOST $500 IN STAFFING COSTS WERE REPORTED IN 2022 FOR HAVING EMS PRESENCE AT THE FOLLOWING COMMUNITY EVENTS: TOUCH-A-TRUCK, ROANOKE RODEO, ROANOKE TRACTOR PULL, AND ROANOKE DERBY. COMMUNITY NURSINGHUNTINGTON MEMORIAL HOSPITAL, INC., AFFORDED 246 EXPECTANT PARENTS THE OPPORTUNITY TO ATTEND CHILDBIRTH CLASSES (IN PERSON OR VIRTUALLY) BY A REGISTERED NURSE WHO IS A CERTIFIED LACTATION CONSULTANT. THE CLASSES PROVIDE ANSWERS TO ANY QUESTIONS AN EXPECTANT MOTHER MAY HAVE; IN ADDITION, OTHER RESOURCES ARE AVAILABLE AT APPOINTMENTS WITH THE HOSPITAL'S BIRTH PLANNER. SOME 432 INDIVIDUALS ATTENDED BIRTH PLANNING APPOINTMENTS LAST YEAR (MAINLY IN-PERSON). ADDITIONAL SUPPORT ONCE A BABY IS BORN INCLUDES THE BREASTFEEDING MOMS GROUP; EVERY WEDNESDAY, THE HOSPITAL LACTATION CONSULTANT PROVIDES WEIGHT CHECKS FOR INFANTS AND ANSWERS ANY QUESTIONS THE MOTHERS HAVE. THIS GROUP HELPED 38 MOMS, BABIES AND SIBLINGS IN 2022. VIRTUAL BREASTFEEDING CLASSES PLUS TWO IN-PERSON CLASSES REACHED 244 SOON-TO-BE PARENTS. ANOTHER VIRTUAL COURSE ABOUT PARENTING AND BABY CARE REACHED 236 INDIVIDUALS IN 2022.EXPECTANT PARENTS HAVE THE OPPORTUNITY, THROUGH YOUTH SERVICES BUREAU (YSB) OF HUNTINGTON COUNTY, TO RECEIVE INCENTIVES SUCH AS CAR SEATS AND SAFETY ITEMS BY PARTICIPATING IN HEALTHY ACTIVITIES (WIC PRENATAL CLASSES, IMMUNIZATIONS, MENTAL HEALTH SERVICES, ETC.). AS PART OF YSB'S "ON YOUR WAY UP" PROGRAM, 12 CAR SEATS WERE DISTRIBUTED, AND PROPER INSTALLATION INSTRUCTIONS WERE PROVIDED, IN 2022; AN ADDITIONAL SIX CAR SEAT INSPECTIONS WERE CONDUCTED WITHOUT THE NEED FOR A CAR SEAT.

    Expenses $52,578,816 · Grants $78,508 · Revenue $66,972,451

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael Packnett

    DIRECTOR/PH PRESIDENT & CEO

    Total calculated
    $2,941,140
    From this org
    $0
    From related orgs
    $2,602,841
    Other
    $338,299
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,330,197 related
    Bonus
    $0 + $664,677 related
    Other
    $0 + $607,967 related
    Deferred
    $0 + $302,282 related
    Nontaxable benefits
    $0 + $36,017 related
    Filer's total
    $0 + $2,941,140 related

  • Julie Utendorf

    DIRECTOR/PH PHYSICIAN

    Total calculated
    $509,630
    From this org
    $17,867
    From related orgs
    $431,132
    Other
    $60,631
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $17,867 + $339,743 related
    Bonus
    $0 + $86,371 related
    Other
    $0 + $5,018 related
    Deferred
    $1,335 + $32,215 related
    Nontaxable benefits
    $1,078 + $26,003 related
    Filer's total
    $20,280 + $489,350 related

  • Douglas Selig

    DIRECTOR/HMHOS PRESIDENT

    Total calculated
    $400,207
    From this org
    $300,426
    From related orgs
    $0
    Other
    $99,781
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,180
    Bonus
    $78,606
    Other
    $21,640
    Deferred
    $71,197
    Nontaxable benefits
    $28,584
    Filer's total
    $400,207

  • John Nelson

    DIRECTOR/CHAIR

    Total calculated
    $10,250
    From this org
    $6,500
    From related orgs
    $3,750
    Other
    $0
    Hours/week
    1 + 1 related

  • Derek Dyer

    DIRECTOR/TREASURER

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Matt Eckert

    DIRECTOR

    Total calculated
    $4,500
    From this org
    $4,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Susan Zahn

    DIRECTOR/VICE CHAIR

    Total calculated
    $4,500
    From this org
    $4,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jennifer Newton

    DIRECTOR

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Erich Eller

    DIRECTOR

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Barbara Drummond

    DIRECTOR/SECRETARY

    Total calculated
    $4,250
    From this org
    $4,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jeremiah Ashe

    DIRECTOR

    Total calculated
    $8,300
    From this org
    $8,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Chad Daugherty

    DIRECTOR-PARTIAL YR

    Total calculated
    $3,250
    From this org
    $3,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jeanne' Wickens

    PH CHIEF FINANCIAL OFFICER

    Total calculated
    $1,622,167
    From this org
    $0
    From related orgs
    $1,264,400
    Other
    $357,767
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $804,432 related
    Bonus
    $0 + $363,922 related
    Other
    $0 + $96,046 related
    Deferred
    $0 + $325,215 related
    Nontaxable benefits
    $0 + $32,552 related
    Filer's total
    $0 + $1,622,167 related

  • Todd Sider

    HMHOS CMO COMMUNITY HOSPITAL

    Total calculated
    $381,204
    From this org
    $140,055
    From related orgs
    $174,383
    Other
    $66,766
    Hours/week
    12 + 28 related

    Schedule J breakdown matched by us

    Base
    $87,166 + $174,383 related
    Bonus
    $22,721
    Other
    $30,168
    Deferred
    $14,944 + $18,606 related
    Nontaxable benefits
    $14,795 + $18,421 related
    Filer's total
    $169,794 + $211,410 related

  • Alison Pershing

    HMHOS VP PATIENT CARE SVCS

    Total calculated
    $219,810
    From this org
    $177,310
    From related orgs
    $5,000
    Other
    $37,500
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,900
    Bonus
    $33,936 + $5,000 related
    Other
    $474
    Deferred
    $9,793 + $276 related
    Nontaxable benefits
    $26,679 + $752 related
    Filer's total
    $213,782 + $6,028 related

  • Bryan Hall

    HMHOS MGR PHARMACY

    Total calculated
    $237,761
    From this org
    $186,637
    From related orgs
    $0
    Other
    $51,124
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,045
    Bonus
    $25,322
    Other
    $270
    Deferred
    $17,300
    Nontaxable benefits
    $33,824
    Filer's total
    $237,761

  • Colleen Rupp

    HMHOS HOUSE SUPERVISOR

    Total calculated
    $205,661
    From this org
    $91,670
    From related orgs
    $77,842
    Other
    $36,149
    Hours/week
    24 + 16 related

    Schedule J breakdown matched by us

    Base
    $90,633 + $57,660 related
    Bonus
    $750 + $20,000 related
    Other
    $287 + $182 related
    Deferred
    $6,548 + $5,560 related
    Nontaxable benefits
    $13,001 + $11,040 related
    Filer's total
    $111,219 + $94,442 related

  • Steven Homrich

    HMHOS PHARMACIST

    Total calculated
    $186,504
    From this org
    $126,142
    From related orgs
    $32,354
    Other
    $28,008
    Hours/week
    32 + 8 related

    Schedule J breakdown matched by us

    Base
    $124,777 + $32,195 related
    Bonus
    $750
    Other
    $615 + $159 related
    Deferred
    $11,443 + $2,935 related
    Nontaxable benefits
    $10,848 + $2,782 related
    Filer's total
    $148,433 + $38,071 related

  • Michael Oberg

    HMHOS PAREMEDIC - COMM HOSP

    Total calculated
    $195,344
    From this org
    $152,908
    From related orgs
    $5,180
    Other
    $37,256
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,039 + $1,179 related
    Bonus
    $750 + $4,000 related
    Other
    $119 + $1 related
    Deferred
    $13,984 + $474 related
    Nontaxable benefits
    $22,051 + $747 related
    Filer's total
    $188,943 + $6,401 related

  • Cynthia Marshall

    HMHOS OR MGR - COMM HOSP

    Total calculated
    $160,513
    From this org
    $131,932
    From related orgs
    $0
    Other
    $28,581
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $113,044
    Bonus
    $17,948
    Other
    $940
    Deferred
    $5,347
    Nontaxable benefits
    $23,234
    Filer's total
    $160,513

  • Steven Wynder

    FORMER OFFICER/CURRENT PH PHYSICIAN

    Total calculated
    $1,128,085
    From this org
    $0
    From related orgs
    $1,064,785
    Other
    $63,300
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $812,860 related
    Bonus
    $0 + $214,329 related
    Other
    $0 + $37,596 related
    Deferred
    $0 + $33,550 related
    Nontaxable benefits
    $0 + $29,750 related
    Filer's total
    $0 + $1,128,085 related

  • Juli Johnson

    FORMER OFFICER/CURRENT PH CNE

    Total calculated
    $655,110
    From this org
    $0
    From related orgs
    $529,760
    Other
    $125,350
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $378,136 related
    Bonus
    $0 + $126,281 related
    Other
    $0 + $25,343 related
    Deferred
    $0 + $93,508 related
    Nontaxable benefits
    $0 + $31,842 related
    Filer's total
    $0 + $655,110 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: TODD SIDER $2,683
PART I, LINE 3
RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC.
PART I, LINE 4B
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): JULI JOHNSON $22,701; MICHAEL PACKNETT $577,374; JEANNE' WICKENS $70,644 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $577,374 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: JULI JOHNSON $56,908; MICHAEL PACKNETT $268,732; DOUGLAS SELIG $37,647; JEANNE' WICKENS $303,865
PART I, LINE 7
MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

    N/A · ORTHOPAEDIC HOSPITAL · IN

  • MANAGED CARE SERVICES LLC

    N/A · HEALTH PLAN ADMINISTRATION · IN

  • FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC

    N/A · SURGICAL SERVICES · IN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • PARKVIEW PROFESSIONAL PROGRAMS INC

    C · REFERENCE LAB · IN

  • WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC

    C · PROPERTY OWNERS ASSOCIATION · IN

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202323139349305397

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